Early introduction of solid foods among urban African-American participants in WIC
Early introduction of solid foods among urban African-American participants in WIC
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DOI：
10.1016/s0002-8223(99)00112-1
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发表时间：
1999-04-01
影响因子：
--
通讯作者：
Paige, DM
中科院分区：
文献类型：
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作者：
Bronner, YL;Gross, SM;Paige, DM
目的比较低收入，城市，非洲裔美国妇女参加了特别补充营养计划的妇女，婴儿和儿童（WIC）的婴儿喂养的做法与目前的建议为infant feeding.Design纵向随访的妇女和他们的婴儿谁参加了WIC为基础的母乳喂养促进项目。妇女登记产前或之前怀孕24周，随访至16周postparty.Subjects/setting 217名非洲裔美国WIC参与者在市区area.Methods有关婴儿喂养的做法数据收集的采访者使用结构化问卷调查，以确定何时nonmilk液体或固体引入婴儿。统计分析进行列联表分析，包括卡方检验和多变量logistic regression.Results产后7 ~ 10天，大约三分之一的婴儿接受非牛奶液体或固体食物，产后8周上升到77%，产后16周上升到93%。完全母乳喂养的妇女（即不添加非牛奶液体或固体）的可能性最小，（母乳和配方奶粉）比只喂配方奶粉的妇女更有可能在每个数据收集时间段引入非母乳液体和固体，应用/结论接受婴儿喂养营养指导的WIC参与者并不比不参加WIC的母亲更容易遵循美国儿科学会推荐的婴儿喂养指南，关于何时应将固体引入婴儿饮食。我们的研究结果表明，WIC需要实施更强大和创新的教育和激励策略，以帮助母亲推迟引入非牛奶液体和固体食物，直到他们的婴儿4至6个月大，建议。
Objective To compare infant feeding practices among low-income, urban, African-American women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) with current recommendations for infant feeding.Design Longitudinal follow-up of women and their infants who participated in a WIC-based breast-feeding promotion project. Women enrolled prenatally at or before 24 weeks of gestation were followed up until 16 weeks postpartum.Subjects/setting Two hundred seventeen African-American WIC participants in an urban area.Methods Data related to infant feeding practices were collected by interviewers who used a structured questionnaire to determine when nonmilk liquids or solids were introduced to the infant. Reported practices were compared with current recommendations.Statistical analysis performed Contingency table analysis, including;chi(2) tests, and multivariate analysis using logistic regression.Results By 7 to 10 days postpartum, approximately a third of infants were receiving some nonmilk liquids or solids; this escalated to 77% by 8 weeks and 93% by 16 weeks postpartum. Women breast-feeding exclusively (ie, not adding nonmilk liquids or solids) were least likely, and women providing mixed feeding (breast milk and formula) were more likely, than women feeding formula exclusively to introduce nonmilk liquids and solids at each data collection time period,Applications/conclusions WIC participants who receive instruction about infant feeding nutrition are no more likely than mothers who do not participate in WIC to follow infant feeding guidelines recommended by the American Academy of Pediatrics in regard to the time when Solids should be introduced to infants' diet. Our findings suggest the need for WIC to implement more powerful and innovative educational and motivational strategies to help mothers delay the introduction of nonmilk liquids and solid foods until their infants are 4 to 6 months old, as recommended.